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NPI Code Detail

MEDICARE: JACQUELINE DIONE KENTON PMHNP-BC

MEDICARE: JACQUELINE DIONE KENTON PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN11045609FL
2363LP0808XPsychiatric/Mental Health Nurse Practitioner188379GA

General Provider Information

NPI Number : 1174485882
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELINE DIONE KENTON PMHNP-BC
Provider Business Mailing Address
First Line : 3157 N ALAFAYA TRL
Second Line :
City : ORLANDO
State : FL
Zip : 32826-2940
Country : US
Telephone Number : 407-986-1360
Fax Number :
Provider Business Practice Location Address
First Line : 3157 N ALAFAYA TRL
Second Line :
City : ORLANDO
State : FL
Zip : 32826-2940
Country : US
Telephone Number : 407-986-1360
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2025
Last Update Date : 05/26/2026

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Directions to “ JACQUELINE DIONE KENTON PMHNP-BC” Practice Location

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